<{include file="admin:common/header.html"}>
<div class="page-title">
    <table width="100%" align="center" cellpadding="0" cellspacing="0" >
      <tr>
        <td width="30" align="right"><img src="<{$pager.url}>/images/main-h5-ico.gif" alt="" /></td>
        <th><{$MOD.title}></th>
        <td align="right"><{link ctl="company/sign:index" arg0=$youhui_id priv="hidden" class="button"}></td>
        <td width="15"></td>
      </tr>
    </table>
</div>
<div class="page-data"><form action="?company/sign-create-<{$youhui_id}>.html" mini-form="sign-form" method="post" >
<table width="100%" border="0" cellspacing="0" class="table-data form">
<tr><th>城市：</th><td><{widget id="data/region" level=2}></td></tr>
<tr>
    <th>所属会员：</th>
    <td>
        <input type="hidden" name="data[uid]" value="0" id="company_member_id" />
        <input type="text" value="" id="company_member_uname" class="input w-300"/>
        <{link ctl="member/member:dialog" select="mini:#company_member_id,#company_member_uname/N/选择用户" title="选择用户" class="button"}>
        
    </td>
</tr>
<tr><th><span class="red">*</span>手机：</th><td><input type="text" name="data[mobile]" value="<{$detail.mobile|default:''}>" class="input w-300"/></td></tr>
<tr><th><span class="red">*</span>联系人：</th><td><input type="text" name="data[contact]" value="<{$detail.contact|default:''}>" class="input w-300"/></td></tr>
<tr><th class="clear-th-bottom"></th><td class="clear-td-bottom" colspan="10"><input type="submit" class="bt-big" value="提交数据" /></td></tr>
</table>
</form></div>

<{include file="admin:common/footer.html"}>